Does anyone else have MGUS?

Posted by mjlandin @mjlandin, Jun 4, 2022

I was diagnosed with MGUS last October and although I've done a lot of research, I feel there's still so much I don't know. Does anyone else have MGUS?

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@silversun

I have had unexplained blood abnormalities including regular high WBC, and autoimmune disorders for decades without any real pattern or issues. One night in 2017 I was sent to the ER for what was found to be high blood counts in most of the CBC.

I was sent to oncology and was then diagnosed with an unspecified MPN. I had a BMB and some plasma cells on the cyto flow looked abnormal but it was labeled “undetermined significance.” The MPN dx was removed and I was continued to be followed. Iron infusions were on the regular and I was also diagnosed with a specific mitochondrial disorder. A
Spinal tap was performed and the results matched my blood. High wbc and neutrophils.

I moved to 6 month monitoring. She added in regular M protein testing. All was well until this last Monday. It was picked up in two tests and the trending changes qualified the upgraded diagnosis. My b12 tanked and that’s why I called to move up my apt. It’s only been 4.5 months since my numbers were stable.

I expected it. And the hematologist/oncologist I think did too.

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@silversun egad! What twists and turns you have endured on your path. I see what you mean when you say that knowing about your MGUS diagnosis is somewhat of a good thing.
Most MGUS patients are diagnosed when their physicians are in hot pursuit of something else.
I was talking myself down from panic when I was diagnosed about 3.5 years ago. This forum helped me as we have members who have had no progression of their MGUS for decades. It allowed me to calm my fears and remember that each day should be savored.
I also believe that I get the best medical care possible with my regular bloodwork and scans. It would be hard for something else to slip by my eagle-eye oncologist/hematologist and his radiologist sidekick completely. I fell like I am in good hands.
So when you go back in 4 1/2 months what is the strategy?

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@pmm

@silversun welcome to the blood cancer and disorders group. I'm glad you found us.
I have so many questions. Were they monitoring you for something else and just recently discovered the MGUS or how did it happen that you were monitored for so long and they didn't know about this?
Are you being monitored by a hematologist/oncologist? What if you been told about MGUS? Has this been adequately explained and do you have questions that some of our members can answer?

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And thank you for the welcome.

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@pmm

@silversun welcome to the blood cancer and disorders group. I'm glad you found us.
I have so many questions. Were they monitoring you for something else and just recently discovered the MGUS or how did it happen that you were monitored for so long and they didn't know about this?
Are you being monitored by a hematologist/oncologist? What if you been told about MGUS? Has this been adequately explained and do you have questions that some of our members can answer?

Jump to this post

I have had unexplained blood abnormalities including regular high WBC, and autoimmune disorders for decades without any real pattern or issues. One night in 2017 I was sent to the ER for what was found to be high blood counts in most of the CBC.

I was sent to oncology and was then diagnosed with an unspecified MPN. I had a BMB and some plasma cells on the cyto flow looked abnormal but it was labeled “undetermined significance.” The MPN dx was removed and I was continued to be followed. Iron infusions were on the regular and I was also diagnosed with a specific mitochondrial disorder. A
Spinal tap was performed and the results matched my blood. High wbc and neutrophils.

I moved to 6 month monitoring. She added in regular M protein testing. All was well until this last Monday. It was picked up in two tests and the trending changes qualified the upgraded diagnosis. My b12 tanked and that’s why I called to move up my apt. It’s only been 4.5 months since my numbers were stable.

I expected it. And the hematologist/oncologist I think did too.

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@silversun

At age 47 and after 7 years of being monitored closely I now have IgG Kappa Light Chain MGUS.

Knowing is comforting I suppose.

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@silversun welcome to the blood cancer and disorders group. I'm glad you found us.
I have so many questions. Were they monitoring you for something else and just recently discovered the MGUS or how did it happen that you were monitored for so long and they didn't know about this?
Are you being monitored by a hematologist/oncologist? What if you been told about MGUS? Has this been adequately explained and do you have questions that some of our members can answer?

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@samanthamozel29

I'm actually not too surprised they've not shamed you. With good reason, there is a lot of fear around AI. It's already impacting the world around us, both positively and negatively. I work in IT and have implemented AI-enabled features on the suite of products at my corporate company. That is really the only reason why I'm in the "in" on it. The best way to future-proof yourself and your loved ones around this technology is to get educated on its use and the basics of how it's built and influenced. If you're willing to actually use it after learning those things, it's potential to help you is incredible.

I attribute my symptoms to some sort of interaction between the MGUS and some other condition. I know the research still doesn't show any solid proof of why MGUS happens to begin with, but I would not be surprised if some other root problem causes it and some of the other comorbidities we see MGUS with. Just my own hunch though.

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@samanthamozel29 you are so right about educating myself about AI. Of course that is a universal truth and we should all try to at least have baseline understanding about most technology as there are so many "smart" appliances, etc. not to mention software applications.
I love technology if I understand it.
AI in the wrong hands could certainly do some harm.

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Can I ask what what you had prior that you were monitored closely?

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@amberl99

Seriously, I told a friend my diagnosis. She’s a PA. Her reply, “What’s that?”

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@amberl99 I know 😂. when I was diagnosed I was still working in a busy pediatric hospital. My physician colleagues all looked at me quizzically and asked what MGUS was.
I had to think about it at first! Of course in fairness, I doubt pediatricians will ever see MGUS.

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At age 47 and after 7 years of being monitored closely I now have IgG Kappa Light Chain MGUS.

Knowing is comforting I suppose.

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@pmm

Welcome to the blood cancers and disorders discussion @kaiti
When meeting with your oncologist regarding MGUS, focus on understanding the condition, its risks, and your individual monitoring plan. Ask about the likelihood of progression and what benchmarks your physician will look at to monitor this, what tests are needed, and How often will you need follow-up appointments.
you might also want to discuss any coexisting conditions and how they might impact your care. Are there any medication's that you're taking that your hematologist/oncologist needs to be aware of?
I think it's also important to have a discussion about how you would like to communicate with your physician. Do you want to be called if there are any concerning lab results or findings that need attention or would you rather wait until your scheduled appointment to discuss this? Do you habitually look at "my chart" to read your reports or do you wait to look at them with your physician? You know your self best and you know what you're tolerance for anxiety is like. Think through that carefully before you have that discussion.
I personally don't recommend getting your lab results or scan reports and jumping right into Dr. Google. That is the road to madness.
And I say this from personal experience. practice about 1 million times what MGUS stands for because even medical professionals will ask you what it is. 😳
i'm sure other members have tidbits from their own experience and I hope they jump in here.

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Seriously, I told a friend my diagnosis. She’s a PA. Her reply, “What’s that?”

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@melonmug

I was diagnosed with MGRS at 37 (I’m 40 now). MGRS is MGUS that is affecting the kidneys. I had no symptoms, and it was found after routine bloodwork showed my kidneys were low.

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@melonmug Welcome to Mayo Clinic Connect. What type of monitoring is your medical team doing for you?
Ginger

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